CHPN CHPN - Certified Hospice and Palliative Nurse Patient Assessment and Planning Questions and Answers 2

Question 1

A hospice nurse is assessing a patient with end-stage heart failure who reports increasing dyspnea at rest. Which intervention should be prioritized in the plan of care?

Accepted Answer

Administer low-dose opioids for symptom relief

Answer

Low-dose opioids are a first-line palliative intervention for dyspnea in end-stage heart failure, reducing the sensation of breathlessness without necessarily improving oxygen levels.

Question 2

During a comprehensive hospice admission assessment, the nurse identifies that a patient's primary caregiver is showing signs of burnout. Which action best reflects appropriate care planning?

Accepted Answer

Refer the caregiver to respite care services and support resources

Answer

Referring the caregiver to respite care and support resources addresses caregiver burnout proactively while maintaining the patient's preferred care setting.

Question 3

A patient with advanced dementia is grimacing, moaning, and resisting care during repositioning. The patient is unable to verbally report pain. Which assessment tool is most appropriate?

Accepted Answer

PAINAD (Pain Assessment in Advanced Dementia)

Answer

The PAINAD scale is specifically designed for patients with advanced dementia who cannot self-report pain, using observable behavioral indicators.

Question 4

When developing a plan of care for a hospice patient from a cultural background that values family decision-making over individual autonomy, the nurse should first:

Accepted Answer

Assess the patient's preferred level of involvement in decision-making

Answer

Assessing the patient's preferred level of involvement respects both cultural values and individual autonomy by letting the patient define how decisions should be made.

Question 5

A hospice nurse is planning care for a patient with a PPS (Palliative Performance Scale) score of 30%. Which finding is most consistent with this score?

Accepted Answer

The patient is mainly bedbound with extensive assistance required for self-care

Answer

A PPS score of 30% indicates a patient who is mainly bedbound, unable to do any activity, requiring extensive assistance, and having reduced oral intake.

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN CHPN - Certified Hospice and Palliative Nurse Patient Assessment and Planning Questions and Answers 2